JAMAICA COTTAGE II , INC (NPI# 1487785341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487785341 |
| Entity Type | Organization |
| Organization Name | JAMAICA COTTAGE II , INC |
| Practice Address |
31360 Aqua Vita Rd Gravois Mills MO 65037-4803 |
| Mailing Address |
31360 Aqua Vita Rd Jamaica Cottage II, Inc Gravois Mills MO 65037-4803 |
| Practice Telephone | 5733726122 |
| Practice Fax Number | 5733726122 |
| Mailing Telephone | 5733726122 |
| Mailing Fax Number | 5733726122 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PATRICIA F SCOTT (PRESIDENT) |
| Authorized Official Telephone | 5733725095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16239486 | MO | Residential Treatment Facilities |
| Street Address |
31360 AQUA VITA RD |
| City | GRAVOIS MILLS |
| State | MO |
| Zip Code | 65037-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942323738 | Jamaica Cottage Isl II | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 31360 Aqua Vita Rd, Gravois Mills, MO 65037-4762 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384993 | Show-me Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 31358 Aqua Vita Rd, Gravois Mills, MO 65037 | 2018-08-01 |
| 1871778977 | Laurie Family Eyecare, Inc. | Optometrist | 138 S. Main, Suite C, Laurie, MO 65037 | 2008-01-08 |
| 1770635880 | Irene Toth | Pharmacist | 29530 Royal Oak Ln, Gravois Mills, MO 65037-4325 | 2007-01-17 |
| 1124023940 | Kenneth L Derrington | Family Medicine | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2005-06-17 |
| 1619321817 | Anton Kosov | Internal Medicine | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2016-04-14 |
| 1932203262 | Kimberly Collins | Nurse Practitioner | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2006-09-08 |
| 1205815461 | Candace Malson | Nurse Practitioner | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2006-01-15 |
| 1811103773 | Bristol Care, Inc. | Assisted Living Facility | 299 Highway Ra, Laurie, MO 65037-6024 | 2007-05-15 |
| 1609915958 | Kelly Grace Gramke | Specialist | 401 N Main St, Laurie, MO 65037-6173 | 2007-02-05 |
| 1750387098 | C. Edward Caldwell | Podiatrist | 138 S Main St, Ste A, Laurie, MO 65037-6196 | 2005-06-22 |
| Find all providers in zip 65037 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAVOIS MILLS |
| Zip Code | 65037 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.